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Electra MM, Evangelia A, Mattheos B, Dimitris HI, Zarogoulidis P, Tsavlis D, Kougioumtzi I, Machairiotis N, Charalampidis C, Fassiadis N, Mparmpetakis N, Pavlidis P, Andreas M, Stamatis A, Alexandros K, Kosmas T. Thoracic duct cyst of posterior mediastinum: a "challenging" differential diagnosis. ANNALS OF TRANSLATIONAL MEDICINE 2016; 4:166. [PMID: 27275479 DOI: 10.21037/atm.2016.04.12] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Thoracic duct cysts of the mediastinum are extremely rare entities and their pathogenesis still remains unknown. Imaging methods are not specific and show a cystic mass, however the real nature of the lesion is confirmed only with the help of histopathological examination after surgical excision. Here, we present a case of thoracic cyst in a 28-year-old female, lining in posterior lower mediastinum. The cyst was removed by video-assisted thoracic surgery (VATS) and the histopathological findings were that of thoracic duct cyst. Through this case, we propose an ideal surgical approach and diagnostic procedure.
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Affiliation(s)
- Michalopoulou-Manoloutsiou Electra
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Athanasiou Evangelia
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Bobos Mattheos
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Hatzibougias I Dimitris
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Paul Zarogoulidis
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Drosos Tsavlis
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Ioanna Kougioumtzi
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Nikolaos Machairiotis
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Chralampos Charalampidis
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Nikolaos Fassiadis
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Nikolaos Mparmpetakis
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Pavlos Pavlidis
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Mpakas Andreas
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Arikas Stamatis
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Kolettas Alexandros
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
| | - Tsakiridis Kosmas
- 1 "Microdiagnostics" Ltd., Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 4 Obstetric - Gynecology Department, "Thriassio" General Hospital of Athens, George Genimata, Athens, Greece ; 5 Department of Anatomy, Democritus University of Thrace, Alexandroupolis, Greece ; 6 Department of Angiology, "St. Loukas" Private Hospital, Thessaloniki, Greece ; 7 Thoracic Surgery Department, "Theageneio" Anticancer Hospital, Thessaloniki, Greece ; 8 Forensic Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece ; 9 Thoracic Surgical Department "St. Loukas", Thessaloniki, Greece
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